EJMCR. 2020; 4(1): 13-18

Femoral osteomyelitis with subperiosteal collection in a young boy

Authors: Bharat Bhushan Sharma, Rajesh Chandra, Mir Rizwan Aziz, Shashi Sharma, Meghna Varma, Puneet Gupta.

ABSTRACT

Background: Osteomyelitis is an infection of the bone and presents itself in different forms of symptomatology. The infection may spread either from the blood or the adjoining soft tissue structures. Sometimes, the findings are so subtle that even clinical presentation does not match with the ongoing infectious process. Subperiosteal collection is one such finding that may not be evaluated in plain radiography. This may be misdiagnosed due to their resemblance with similar type of pathology such as Morel–Lavallee lesion. A cross-sectional imaging evaluation is must to find the diagnosis in these types of conditions. Case Presentation: We present a 14-year-old male with similar type of swelling in the right thigh which appeared after 2 weeks of the blunt injury. Plain radiography was normal. Ultrasound, computed tomography, and magnetic resonance imaging revealed it as a case of acute osteomyelitis with subperiosteal collection. The patient was treated with surgical drainage and broad-spectrum antibiotics. Conclusion: A cross-sectional imaging played a pivotal role in clinching the diagnosis of femoral osteomyelitis with subperiosteal collection. This also helped in the management and follow-up of the patient.

Keywords:
osteomyelitis, subperiosteal collection, ultrasound, CT, MRI


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Femoral osteomyelitis with subperiosteal collection in a young boy


Authors
Bharat Bhushan Sharma
Professor & HOD, Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India
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Rajesh Chandra
Professor, Department of Orthopedics, SGT Medical College Budhera, Gurgaon, India
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Mir Rizwan Aziz
Senior Resident, Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India
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Shashi Sharma
Professor, Department of Pediatrics, SGT Medical College Budhera, Gurgaon, India
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Meghna Varma
PG Resident, Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India
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Puneet Gupta
PG Resident, Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India
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Correspondence to:
. Bharat Bhushan Sharma, Professor & HOD, Department of Radio-Diagnosis, SGT Medical College Budhera, Gurgaon, India.; bbhushan986@gmail.com

Publication history
Received 23 Apr 2019
Accepted 10 Dec 2019
Published online 06 Feb 2020
Published in print 12 Feb 2020

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Pubmed Style

Sharma BB, Chandra R, Aziz MR, Sharma S, Varma M, Gupta P. Femoral osteomyelitis with subperiosteal collection in a young boy. EJMCR. 2020; 4(1): 13-18. doi:10.24911/ejmcr/173-1556009069


Web Style

Sharma BB, Chandra R, Aziz MR, Sharma S, Varma M, Gupta P. Femoral osteomyelitis with subperiosteal collection in a young boy. https://www.ejmcr.com/?mno=44985 [Access: February 22, 2020]. doi:10.24911/ejmcr/173-1556009069


AMA (American Medical Association) Style

Sharma BB, Chandra R, Aziz MR, Sharma S, Varma M, Gupta P. Femoral osteomyelitis with subperiosteal collection in a young boy. EJMCR. 2020; 4(1): 13-18. doi:10.24911/ejmcr/173-1556009069


Vancouver/ICMJE Style

Sharma BB, Chandra R, Aziz MR, Sharma S, Varma M, Gupta P. Femoral osteomyelitis with subperiosteal collection in a young boy. EJMCR. (2020), [cited February 22, 2020]; 4(1): 13-18. doi:10.24911/ejmcr/173-1556009069


Harvard Style

Sharma, B. B., Chandra, . R., Aziz, . M. R., Sharma, . S., Varma, . M. & Gupta, . P. (2020) Femoral osteomyelitis with subperiosteal collection in a young boy. EJMCR, 4 (1), 13-18. doi:10.24911/ejmcr/173-1556009069


Turabian Style

Sharma, Bharat Bhushan, Rajesh Chandra, Mir Rizwan Aziz, Shashi Sharma, Meghna Varma, and Puneet Gupta. 2020. Femoral osteomyelitis with subperiosteal collection in a young boy. European Journal of Medical Case Reports, 4 (1), 13-18. doi:10.24911/ejmcr/173-1556009069


Chicago Style

Sharma, Bharat Bhushan, Rajesh Chandra, Mir Rizwan Aziz, Shashi Sharma, Meghna Varma, and Puneet Gupta. "Femoral osteomyelitis with subperiosteal collection in a young boy." European Journal of Medical Case Reports 4 (2020), 13-18. doi:10.24911/ejmcr/173-1556009069


MLA (The Modern Language Association) Style

Sharma, Bharat Bhushan, Rajesh Chandra, Mir Rizwan Aziz, Shashi Sharma, Meghna Varma, and Puneet Gupta. "Femoral osteomyelitis with subperiosteal collection in a young boy." European Journal of Medical Case Reports 4.1 (2020), 13-18. Print. doi:10.24911/ejmcr/173-1556009069


APA (American Psychological Association) Style

Sharma, B. B., Chandra, . R., Aziz, . M. R., Sharma, . S., Varma, . M. & Gupta, . P. (2020) Femoral osteomyelitis with subperiosteal collection in a young boy. European Journal of Medical Case Reports, 4 (1), 13-18. doi:10.24911/ejmcr/173-1556009069


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